This study investigates the influence of socioeconomic factors on the responses of patients to acute myocardial infarction. Patients were divided socioeconomically in two ways: by their ward assignment and by socioeconomic status scores (SES Score). In this way prior socioeconomic differences (SES score) could be contrasted with differences arising in the two treatment settings (ward vs private). There was no significant differences in anxiety, depression or fear of death between the groups. Patients from each group were undermedicated for pain, anxiety and insomia—undermedication for insomia was significantly greater for ward patients. At discharge only 30% of the entire population received tranquilizers. A significantly greater number of white collar patients had sleeping medication prescribed. In comparison with the white collar group, blue collar patients(1) found the equipment more frightening, (2) knew less about it, (3) blamed their heart for monitor artifacts, (4) knew less about the process of cardiac repair, (5) avoided asking questions about the future, (6) displayed more regressive behavior and (7) were less able to recall their doctor's name. Most of these differences can be explained by faulty communication between the patient and his caretakers. White collar patients probably enjoy a greater exchange of information.
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